The Optimum Plan is the plan designed for those who expect the best.
Optimum offers the most comprehensive dental care and coverage of all our plans - including most popular cosmetic dental procedures! You value exclusive experiences and timeless elegance, so we designed the Optimum Plan with you in mind by including cost-sharing benefits for professional teeth whitening, teeth bleaching services, and veneers to ensure that your teeth feel and look the best they can.
The Optimum Plan also offers 60% coverage on restorative dental care for procedures such as crowns, root canals, and dental implants, saving you money on major care. Furthermore, with a $100 policy lifetime deductible, you will never have to pay the deductible again once each covered person pays $100 out-of-pocket for treatment (as long as you keep your policy).
If you're ready to take your smile to the next level, the Optimum Plan is for you!
Which plan is right for you? Click on each person below to find out why they chose the Optimum Plan*
*Personas are fictional and only intended to represent possible oral health needs and situations. They are not inclusive of all needs or circumstances.
Plan Features per benefit yearii
Monthly Premium
Eastern/Western WA |
Plan Year Maximum
|
Shared Maximum Benefit
|
Individual Starting Rateii
$57.10 / $65.60 |
$1500 per person |
Additional $250 maximum benefit per person up to $1250 |
Deductible
|
Office Visit Copay
|
Preventive Care
Cleanings, exams, x-rays, and fluoride |
$50 |
None |
100% |
Fillings |
Crownsiii |
Root Canal |
50% |
50% |
50% |
& and Implants |
Periodontal Maintenance
One per six months |
Orthodontics |
50% |
50% |
50%
($1,500 lifetime maximum w/ 12-month waiting period)i |
Annual Contract |
Waiting Periods |
|
Yes |
May Applyi |
|
** Family Plus Plan to be renamed Plus Ortho Plan, effective January 2024.
i For Orthodontia covered procedures a 12-month waiting period applies. This means that DDWA will not pay towards any of these procedures until the covered members have been enrolled in this policy for 12 continuous months. The waiting period for Orthodontia treatment will be waived for your family if all family members were covered under another insured dental plan with orthodontic coverage for at least 12 continuous months before you enrolled in this plan, but only if there was no more than a 63-day gap between the previous plan and this plan. Documentation is required to waive the 12-month waiting period.
ii These are benefit highlights only. Monthly premiums shown are examples only of our lowest monthly rates for subscriber-only or family, (subscriber, spouse, plus two children) in Washington, effective January 2024. Actual rates vary based on plan choice, your age, your location, number of people insured, their age, and relationship to you. Waiting periods may be waived if you had qualifying dental coverage for 12-continuous months prior to enrolling. For full details of plan, benefits and pricing, please visit DeltaDentalCoversMe.com.
iii A predetermination is suggested. Clinical requirements must be met, crowns covered at 50% per tooth every seven years